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Systematic Review: The Role of Physical Activity on The Incidence of Dysmenorrhea in Adolescents Aged 12-18 Years Bratakusumah, Shinta Putri; Aqila, Fayyaza; Wulandari, Chairunnisa Wahid; Alvianty, Rizka Ayu; Nurcandra, Fajaria
Jurnal Kesehatan Vol 18, No 2 (2025): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v18i2.5716

Abstract

Pendahuluan: Sebanyak 54,89% remaja di Indonesia mengalami kejadian dismenore jenis primer, sedangkan 45,11% remaja mengalami kejadian dismenore dengan jenis sekunder. Dismenore mempengaruhi terbatasnya aktivitas yang dapat dilakukan oleh remaja putri. Tujuan dari penulisan artikel ini yaitu untuk meninjau seberapa besar pengaruh aktivitas fisik terhadap kejadian dismenore pada remaja. Metode: Dalam proses penelusuran artikel menggunakan beberapa sumber database online seperti Google Scholar, Science Direct, Pubmed, dan Garuda dengan rentang tahun 2014 – 2024. Sistematika penyusunan artikel ini menggunakkan metode tinjauan sistematis dengan pedoman PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analysis), PECO (Population, Exposure, Comparison, Outcome), dan pendekatan cross-sectional untuk mengidentifikasi artikel yang akan digunakan. Hasil: Hasil menunjukkan bahwa dari 7 artikel yang terinklusi terdapat 6 artikel yang mengatakan keterkaitan antara aktivitas fisik dengan dismenore. Simpulan: Dengan demikian, aktivitas fisik memiliki dampak yang signifikan terhadap remaja putri saat mengalami menstruasi. Oleh karena itu, diperlukannya bagi remaja untuk melakukan aktivitas fisik agar terhindar dari kejadian dismenore pada saat menstruasi.     Introduction: The prevalence of dysmenorrhea in Indonesia is 54.89% for primary dysmenorrhea while 45.11% for secondary dysmenorrhea. Dysmenorrhea affects the limited activities that can be done by adolescent girls. The justification for writing this article is to find out the impact of physical activity on the prevalence of dysmenorrhea in adolescents. Method: The literature search process contained several online databases such as Google Scholar, ScienceDirect, Pubmed, and Garuda, and it spanned the years 2014 - 2024. The method that was applied when arranging this article is a systematic review method with PRISMA (Preferred Reporting Item for Systematic Review and Meta-Analysis) guidelines. Also, it uses the PECO (Population, Exposure, Comparison, Outcome) method in identifying articles to be used, and the approach used is cross-sectional. Included articles will be selected based on the NOS assessment, so 9 articles have met the criteria. Results: The results stated that of the 9 included articles, 8 articles revealed there was an association between the role of physical activity and the prevalence of dysmenorrhea. Conclusion: It may inferred that physical activity has a significant influence on adolescent girls during menstruation. Therefore, adolescents need to do physical activity to avoid the prevalence of dysmenorrhea during menstruation.
The Role of Resilience in Quality of Life in a Productive-Age Population During the COVID-19 Pandemic Nurcandra, Fajaria; Ronoatmodjo, Sudarto; Keliat, Budi Anna; Sudaryo, Mondastri Korib
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has impacted various sectors and may trigger a decrease in quality of life (QoL), so resilience is urgently needed. This study aimed to analyze the role of resilience in the QoL of individuals during the second wave of the COVID-19 pandemic in East Jakarta, Indonesia. An explanatory sequential mixed methods study was conducted with a cross-sectional design. The QoL was measured using the Indonesian-HRQoL on 300 respondents through multistage cluster sampling. The explanatory qualitative approach involved Focus Group Discussions and in-depth interviews. A Cox regression was used to analyze the quantitative data. The proportion of poor QoL was 26.30%. Poor resilience (individual, family, and community) contributed to poor QoL during the pandemic. Realistic perceptions determined the role of individual resilience in QoL concerning gratitude, sincerity, patience, mutual reinforcement, accepting circumstances, implementing health protocols, cognitive emotion regulation, adaptability, and optimism. The age of family decision-makers, social support, and self-control determined the role of individual resilience in QoL. The role of community resilience in mental-emotional disorders and QoL was determined by the stability of the education system, health system, political/government system, and pandemic management system.
Adverse Effect of Aerosol Pesticide on Lung Dysfunction amongPaddy Farmers in Purworejo, Central Java, Indonesia Nurcandra, Fajaria; Mahkota, Renti; Miko Wahyono, Tri Yunis
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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Abstract

The World Health Organization estimated that chronic obstructive pulmonary disease (COPD) will be the highest non-communicable disease worldwide by2030, and pesticide exposure is one of major risk factors. This study aimed to determine effect of pesticide exposure on lung dysfunction among paddyfarmers. A case-control study was performed on April - May 2016 in Purworejo. The case group comprised 66 farmers suffering from lung dysfunction during2015 based on medical records, while the control group comprised 59 neighboring farmers showing normal lung function. Both case and control groups weretested using a spirometer and COPD assessment test (CAT) questionnaire. Logistic regression analysis of pesticide quantity (OR = 0.75; 95% CI = 0.317 -1.754) and duration of spraying (OR = 1.11; 95% CI = 0.430 - 2.891) adjusted for confounders showed no clear associations. Pesticide remained a potentialhealth risk for lung dysfunction due to farming duration (OR = 5.61; 95% CI = 1.124 - 27.990) adjusted by age, personal protective equipment, records of lungdisease, smoking habit, dust exposure, and indoor air pollution. The farming duration was revealed to be a risk factor, but no clear association was found between quantity and duration of spraying to lung dysfunction.
Ultraviolet Exposure and Photokeratitis Complaints among Informal Welding Workers in Depok, West Java, Indonesia Yustheresani, Maria K I J; Nurcandra, Fajaria; Fitri, Azizah Musliha; Putri, Annisa Ika; Utari, Dyah
Kesmas Vol. 15, No. 4
Publisher : UI Scholars Hub

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Abstract

One of the photokeratitis risk factors is acute reversible radiation of ultraviolet (UV) rays, which injure the cornea's epithelial tissue. Informal welding workers are susceptible populations to UV rays exposure. This study aimed to confirm the influence of UV radiation exposure on photokeratitis complaints in welding workers in Cimanggis, Depok, West Java. A cross-sectional study was conducted from February to June 2019 and used to select 100 welding workers purposively. A semi-structured questionnaire was used to determine photokeratitis complaints, age, education level, eye protection, safety knowledge, and work period; the UV radiation measured by A UV meter. Data were analyzed using a logistic regression test. We found the proportion of photokeratitis to be 84.0%, with 76.0% of UV radiation exceeding the Threshold Limit Values (TLV). The logistic regression test showed a significant effect of UV radiation on photokeratitis after controlling confounding variables (education level, eye protection, safety knowledge, and welding distance) (p-value = 0.006; AdjOR = 7.236; 95% CI: 1.74–30.07). It can be concluded that UV radiation, more than TLV, constitutes the primary risk factor for photokeratitis complaints. Risks for photokeratitis were influenced by low education level, poor eye protection, limited safety knowledge, and welding distance ≤ 45 cm.
Effect of Personal Protective Equipment during Pesticide Application to Neurological Symptoms in Farmers in Purworejo District, Indonesia Nurcandra, Fajaria; Mahkota, Renti; Shivalli, Siddharudha
Kesmas Vol. 12, No. 4
Publisher : UI Scholars Hub

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Abstract

Agriculture is one of major sectors of Indonesia economic source with the high volume of pesticide used. Unfortunately, adverse health effect of neurotoxic pesticide has never been reported in Indonesia. This study aimed to determine effectiveness of personal protective equipment (PPE) during applied pesticides to neurological symptoms in farmers. This study was cross-sectionally conducted from April to May 2016 in Purworejo District. About 125 farmers were selected using purposive sampling, and restriction was applied in male farmers due to the high proportion of male sprayer. Data was collected by observation and interview. Logistic regression showed protective result of PPE used during preparing (POR=0.402; 95% CI 0.114-1.423) and spraying (POR = 0.382; 95% CI 0.110-1.320), also following wind direction (POR = 0.882; 95% CI 0.271-2.872) and bathing after spraying (POR=0.328; 95% CI 0.036-3.006) after controlled by confounders. Proper PPE used during preparing and spraying pesticide, following wind direction during spraying, and bathing after spraying can decrease risk of neurological symptoms because of pesticide exposure.
Ammonia Exposure Based on the Length of Work to Lung Function Abnormalities Among Traditional Scavengers Jasmine, Maulyda Shakeela; Nurcandra, Fajaria; Fithri, Nayla Kamilia; Buntara, Arga
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Abstract

Lung function abnormalities can be caused by smoking habits or air pollution. Sanitary landfills can produce ammonia, which can cause lung function abnormalities. This study aimed to determine a relationship between ammonia exposure based on the length of work and lung function abnormalities among traditional scavengers at the Sumur Batu Landfill, Bekasi City, West Java Province, Indonesia. This analytical observational study applied quantitative methods and cross-sectional design. A total of 85 scavengers were selected using purposive sampling from March to May 2023. Data was obtained using a respondent characteristics questionnaire, spirometry, and spectrophotometer and analyzed using the Cox Regression Model. Most respondents (54.12%) had lung function abnormalities, and 79.17% had worked ≥8.5 years. The adjPR of ammonia exposure based on the length of work to lung function abnormalities was 3.413 (95% CI 1.51—7.71). There were confounding variables between ammonia exposure based on the length of work and lung function abnormalities: smoking status and lung disease record. In conclusion, ammonia exposure based on the length of work strongly correlates with lung function abnormalities in scavengers after adjusting for the lung disease record and smoking behavior.
KEK PADA IBU HAMIL: FAKTOR RISIKO DAN DAMPAK Kusumastuti, Tiara; Presilia Putri, Dona; Putri Eliza, Cintiya; Nur Hanifah, Alya; Nurcandra, Fajaria
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.15777

Abstract

Kurang energi kronis (KEK) adalah perihal di mana wanita yang sedang mengandung  mengalami kekurangan makanan yang berlangsung lama. Kekurangan makanan ini menyebabkan gangguan kesehatan pada ibu dan menyebabkan tidak terpenuhinya jumlah zat makanan yang dibutuhkan oleh ibu hamil. Adapun tujuan penelitian ini yaitu untuk menggali data dari berbagai penelitian yang relevan mengenai faktor resiko dan dampak KEK pada ibu hamil. Masalah utama pada penelitian ini yaitu ibu hamil yang rentan untuk terkena KEK karena kebutuhan ibu hamil lebih besar daripada ibu yang tidak dalam keadaan hamil. Penelitian ini menggunakan desain penelitian kualitatif. Penelitian ini merupakan penelitian deskriptif kualitatif. systematic review dengan menggunakan 3 database yaitu Google Scholar, Scopus, dan Science Direct. Artikel diidentifikasi menggunakan metode PRISMA. Populasi pada penelitian ini adalah wanita yang sedang menjalani proses kehamilan. Artikel yang digunakan terbatas dari 2019 sampai 2023. Berdasarkan analisis hasil, faktor dari umur dan status pekerjaan dengan kejadian KEK pada ibu hamil membuktikan bahwa terdapat hubungan antara status pekerjaan ibu dengan KEK pada ibu hamil. Ibu pada kondisi KEK bisa berdampak atau menimbulkan gangguan pertumbuhan pada janin yang dikandung, seorang ibu juga dapat mengalami beberapa risiko persalinan sebagai dampak dari KEK. penelitian ini yaitu faktor risiko yang berakibat pada KEK yaitu faktor pekerjaan dan pada penelitian Teguh mengutarakan bahwa tidak ada hubungan antara tingkat pendidikan dengan kejadian KEK pada ibu hamil. Peluang kejadian KEK pada pendidikan rendah 2,3 kali lebih besar dibandingkan ibu hamil dengan tingkat pendidikan tinggi.
STUDI KUALITATIF : PROGRAM PENANGGULANGAN PENYAKIT JANTUNG DAN PEMBULUH DARAH DI KEMENTERIAN KESEHATAN RI Ramadhanti, Ismaya; Izzati, Mutiara Nur; Nurcandra, Fajaria; Apriningsih
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.29796

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Penyakit kardiovaskular menjadi salah satu penyebab kematian dan kesakitan di Indonesia dengan faktor yang dapat dicegah seperti hipertensi, obesitas, dislipidemia, dan kebiasaan merokok. Menyadari pentingnya pencegahan dan pengendalian penyakit jantung dan pembuluh darah sebagai salah satu penyebab kematian terbesar di Indonesia, tujuan penelitian ini adalah untuk menelusuri secara mendalam terkait program pencegahan dan pengendalian penyakit jantung dan pembuluh darah di Kementerian Kesehatan. Penelitian kualitatif dengan desain rapid assessment test dan desain studi deskriptif. Data kualitatif berasal dari wawancara mendalam terhadap informan dari Kementerian Kesehatan dan Dinas Kesehatan Kota Depok dengan instrumen penelitian adalah peneliti sendiri dibantu oleh pedoman wawancara, ATK, dan gadgets. Hasil wawancara disusun ke dalam transkrip dan matriks hasil wawancara. Validasi data dilakukan dengan triangulasi informan dan triangulasi data. Data agregat hasil skrining penyakit jantung dan pembuluh darah Kementerian Kesehatan terhadap 38 provinsi di Indonesia dianalisis untuk melihat persentase deteksi dini dan kasus. Program penanggulangan di Kementerian Kesehatan RI dilandaskan pada meningkatnya prevalensi PJPD sehingga diperlukan program skrining faktor risiko. Program dilaksanakan dengan koordinasi dari Kementerian Kesehatan hingga ke Puskesmas untuk menurunkan prevalensi PJPD. Hasil analisis univariat menunjukkan faktor risiko dan kejadian PJPD tertinggi berada pada Provinsi Jawa Barat. Program penanggulangan penyakit jantung dan pembuluh darah di Kementerian Kesehatan RI berfokus pada faktor risiko, yaitu skrining faktor risiko terutama hipertensi. Selain dilakukan skrining faktor risiko, dilakukan edukasi kepada masyarakat umum untuk meningkatkan kesadaran akan pola hidup sehat sebagai bentuk pencegahan terjadinya penyakit jantung dan pembuluh darah.
Analysis of Pulmonary Tuberculosis Control Program Implementation at Tanah Baru Community Health Care, Depok Baru Elysia Rahmatul Fitri, Asti; Lutfiah Rahmayanti, Verina; Alya Azis, Arkanaya; Nurcandra, Fajaria; Apriningsih, Apriningsih
Jurnal Kesehatan Manarang Vol 11 No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i1.1377

Abstract

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis that remains a global problem. In response to the burden of TB, the Indonesian government has established the TB Elimination Target for 2030. Primary health centers play a crucial role in implementing TB elimination strategies in Indonesia through effective and sustainable essential health services. This qualitative study, using a rapid assessment test design, aims to explore the tuberculosis control program in the Community Health Center (Puskesmas) Tanah Baru area more deeply. Data were collected through observation techniques and in-depth interviews with selected informants. This study involved seven informants selected through purposive sampling based on their roles and relevance to the TB program, including the Head of the P2P Program at the City Health Office, the Head of the TB Program at the City Health Office, the Head of the Puskesmas, the Puskesmas TB Program Holder, a Puskesmas nurse, the Head of Kapitu, and positive TB patients. Data analysis was conducted using the concept of triangulation of sources and methods. The results showed that the input and process components in the Puskesmas Tanah Baru TB control program were optimal. The implementation of promotive programs in the form of counseling, preventive programs such as screening, contact investigation, and provision of TPT, as well as curative programs, has been carried out according to national standards. Regarding the output component, the coverage of health services for people suspected of TB and the successful treatment of TB cases have reached the target. However, the overall coverage of TB case treatment has not yet met the predetermined target. The results of the TB control program at Puskesmas Tanah Baru largely meet the established indicators, although community stigma remains a significant obstacle to TB control efforts. Promotive and educational programs in the Puskesmas Tanah Baru area should be strengthened to reduce stigma within the community.
A Qualitative Study on the Implementation of Prevention and Identification Programs for Acute Respiratory Infections in Depok City, West Java Bahasoan, Balqis Hiri; Hayati, Nisrina; Hamid, Endah Nurhalimah; Nurcandra, Fajaria
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 3 (2024): EDITION NOVEMBER 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i3.5972

Abstract

Acute Respiratory Infections (ARI) are among the most frequently reported infectious diseases in healthcare facilities. The ARI Prevention and Control Program aims to reduce ARI prevalence. This study seeks to provide in-depth understanding of the program's implementation at the Cinere Community Health Center, Depok. Using  descriptive qualitative approach and rapid assessment test design, data collection occurred through in-depth interviews from April to June 2024. Four participants were selected using purposive sampling: ARI program managers from the Cinere Community Health Center and the Depok City Health Office, along with a teacher and a student from SMAN 9 Depok. The study focused on describing the program, its inputs, and its outputs. Data analysis was conducted using source triangulation.The results indicated that the ARI prevention program primarily focuses on promotive and preventive measures, with collaboration between the Health Office, the Community Health Center, and the community, particularly SMAN 9 Depok. While these activities are conducted regularly, strategies are required to enhance the program's effectiveness. This study concluded that the Cinere Community Health Center’s ARI prevention program has been well-executed, as it has engaged various community groups in promotive, preventive, rehabilitative, and curative efforts, alongside thorough recording and reporting. Nevertheless, further efforts are necessary to increase community participation, strengthen cross-sector collaboration beyond network clinics, expand outreach via digital media, and optimize the health information system for more efficient recording and reporting, ensuring the program's overall success.
Co-Authors Adelia Zahirah Adisasmito, Wiku Bakti Bawono Adrianto, Naifa Athiya Putri Adzra Arifah Mahira Afif Amir Amrullah Alvianty, Rizka Ayu Alya Azis, Arkanaya Anggraini, Khairana Annisa Ika Putri Annisa Ika Putri Annisa Ika Putri Annissa, Sohra Ansariadi Ansariadi Apriningsih, Apriningsih Apriningsih Aqila, Fayyaza Arbitera, Cahya Arga Buntara Ariantini, Anggrahita Dwi Asmara, Danadipa Ayu Sujarwati Azizah Azizah Azizah M Fitri Azizah M. Fitri Azizah Musliha Fitri Azizah Musliha Fitri Azzahra, Neva Bahasoan, Balqis Hiri Balqis Hiri Bahasoan Bambang Wispriyono Bratakusumah, Shinta Putri Budi Anna Keliat Bunga Hardiyana Putri Cahya Arbitera Chandrayani Simanjorang Chiko Hamzah Putra Mahardika Daniel Steven Santoso Dwinata, Indra Dyah Utari Elysia Rahmatul Fitri, Asti Eti Wiyati Nurcahyani Fariani Syahrul Fera Kresyca Fithri, Nayla Kamilia Fitri, Azizah Musliha Fitri, Azizah Musliha Fitria Dewi Puspita Anggraeni Fitrianti, Alvina Diva Hakim, Jiddan Azizan Hamid, Endah Nurhalimah Hardy, Fathinah Ranggauni Hayati, Nisrina Helda Helda Hidajah, Atik C. Intan Nur Fathiyyah intan permata sari Ismaya Ramadhanti Isyah Radhiyya Nabita Izzati, Mutiara Nur Jasmine, Maulyda Shakeela Kareena Sari Fatimah Kawi, Nurhayati Kurniati, Vira Kusumastuti, Tiara Lubis, Fariz Putra Utama Lutfiah Rahmayanti, Verina M. Fitri, Azizah Maharani, Ghania Danisha Mahardika Pambudi, Muhammad Rayhan Margaritha Putri Anastasya Maria K I J Yustheresani Miko Wahyono, Tri Yunis Moh. Irvan Mohammad Rachman Waluyo Mohammad Varidzdudin Rizq Mondastri Korib Sudaryo Muhammad Adi Brata Mutiara Nur Izzati Nadila Sopya Indriyani Najwa Kamilah Naufal Ilyas Permana Nourmayansa Vidya Anggraini Nur Fajriah Nur Hanifah, Alya Nursalsabila Nursalsabila Nursalsabila, Nursalsabila Prasetyo Risky Alamsyah Presilia Putri, Dona Primelshaddai Tongguran Manurung Pristya, Terry Y.R. Pristya, Terry Yuliana Rahadia Putri Eliza, Cintiya Putri, Adella Delisa Putri, Annisa Ika Rachma, Janeiffah Rachmawati, Yunia Rahmah Hida Nurrizka Rahman, Ulwan Ramadhanti, Ismaya Renti Mahkota Renti Mahkota Ridwan, Rizaldi Robbiatul Afda'tiyah Sangadji, Namira Wadjir Setiawati, Riska Shaifuddin, Siti Norashikin Mohamad Shivalli, Siddharudha Siddharudha Shivalli Siti Rahmah Hidayatullah Lubis Suci Elfitri Sudarto Ronoatmodjo Sudarto Ronoatmodjo Sudaryo, Mondastri Korib Syahidah, Raisha Terry Y. R. Pristya Terry Y.R. Pristya Terry Y.R. Pristya Terry Yuliana Rahadian Pristya Tri Yunis Miko Wahyono Triana, Adinda Ziska Ulya Qoulan Karima Ummah, Khairal Utari, Dr. Dyah Utari, Dyah Veronika, Erna Wahyono, Tri YM. Wangsawinangun, Rana Zahra Raniyah Wardani, Indah Kusuma Wulandari, Chairunnisa Wahid Yustheresani, Maria K I J